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Technology Use/Management - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Technology Use/Management:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions for Employees Participating in the 360-Feedback Assessment:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be combined with the responses received from others and a report will be generated for you to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team
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Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You identify gaps between actual and needed technical competencies and provide recommendations for required training.
  1. You support employee training and development initiatives regarding implementation of technology.
  1. You adopt the implementation of new technology into the workplace.
  1. You use technology in decision making and problem solving.
  1. You understand and are committed to implementing new technologies.
If you were to make improvements in Technology Use/Management, what are your suggestions for how you can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You successfully resolve conflicts and grievances to a win-win solution.
  1. I offer constructive criticism to have a positive impact on performance.
  1. You assist those in the department who need help in meeting performance metrics.
  1. I appreciate the extra efforts made by coworkers.
  1. You a good listener who is attentive to others. I am a good listener who is attentive to others.
If you were to make improvements in Interpersonal Skills, what are your suggestions for how you can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are effective in working with different personnel of the team.
  1. You work effectively with various personalities of team members.
  1. You can adjust plans and procedures.
  1. You are able to adjust to new plans and procedures.
  1. You easily accept new responsibilities.
If you were to make improvements in Adaptability, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I take responsibility for meeting performance standards.
  1. You prepare equipment at the start of the shift.
  1. I gladly accept new challenges and work on them with urgency.
  1. You work across organizational lines and boundaries to attain goals.
  1. You fixe problems when they occur.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You share best practices with others and learn from others.
  1. You take charge of your training and skills enhancement.
  1. I view setbacks as opportunities to learn from.
  1. You improve on your skill sets.
  1. You build on your strengths while addressing your weaknesses.
If you were to make improvements in Continual Learning, what are your suggestions for how you can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You hold others accountable for your actions.
  1. You are able to influence others.
  1. You are able to organize the work of others.
  1. You sit down regularly with employees to review your job performance.
  1. You lead team to set goals, solve problems, and accomplish tasks.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Managing Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I set the Objectives and Key Results (OKRs) required for the position.
  1. I am proactive in administering the rewards program.
  1. I create clear standards that are understandable and fair.
  1. I communicate OKRs to employees regularly during monthly meetings.
  1. You effectively use the current performance review process.
If you were to make improvements in Managing Performance, what are your suggestions for how you can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I take calculated risks to achieve significant rewards.
  1. You strive to meet goals and objectives.
  1. You allocate resources as needed to accomplish organizational goals.
  1. I increase revenue for the company.
  1. You follow-up and take action when goals are not met to ensure better results in the future.
If you were to make improvements in Achievement, what are your suggestions for how you can improve this?

Negotiation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are flexible in responses.
  1. You are able to control your emotional responses and correctly gauge the emotions of others.
  1. You maintain control over emotions to ensure a constructive environment.
  1. I set and maintain firm negotiating limits and boundaries.
  1. You understand the expectations of other parties in the negotiation.
If you were to make improvements in Negotiation, what are your suggestions for how you can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.